Facility Evaluation Report

On 5/16/2022, Licensing Program Analyst (LPA) Leslie Ibo arrived at the facility for the purpose of conducting an unannounced pre-licensing visit and met with Vice President of Operations (VPO) Jeri Shields and General Manager (GM) Lydia Hertzer. LPA observed zero resident during the inspection.

LPA toured the facility inside and outside with GM and VPO. This residential care for the elderly facility (RCFE) consists of five (2) floors in one main building. The memory care unit (MC - referred to as the Garden House) located on the main floor was observed secure and locked with a delayed egress device with a security code to open the door. There is a secured and locked centralized storage area for resident medications. Centrally stored and locked medication rooms were observed equipped with medication carts and first aid kits including sterile dressings, bandages, thermometer, scissors, tweezers, and a first aid manual.

The facility is clean and in good repair; inside temperature was comfortable at 75 degrees Fahrenheit (physical plant has centralized heating and cooling system in common areas and independent air units in each resident room); all window screens are clean and in good repair; there is appropriate and adequate lighting throughout the facility and in each room; assisted living rooms are equipped with, oven and washer and dryer in all the rooms; all indoor and outdoor passageways and stairways are free of obstruction; inclines, ramps, porches and potential hazard areas are well-lit and equipped with sturdy hand railings; physical plant is consistent with submitted facility sketch; disinfectants, cleaning solutions, poisons, and other items that could pose a danger are inaccessible - there are no firearms present; facility theft and loss program is posted; licensing complaint poster is posted;Covid19 posters are observed around the facility; resident personal rights posted; resident council rights posted. LPA observed there is covid19 screening station at the front desk. There is a signal system in all rooms - two were checked and were operational; there are no floor coverings that could pose a potential safety risk. LPA observed that there is a pool located at the facility courtyard, pool was observed to be locked. (Continued on 809C)